HomeMy WebLinkAbout2013-00527 - cooling system CITY OF ORONO * 2 0 1 3 - 0 PJ 5 2 7 *
2750 KELLEY PARKWAY DATE ISSUED: 06/2U2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 75 CRYSTAL CREEK RD
PIN : 33-118-23-33-0003
LEGAL DESC : CRYSTAL CREEK
: LOT 002 BLOCK 001
PERMIT TYPE : MECHANICAL(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : COOLING SYSTEMS
VALUATION : $ 1,800.00
NOTE: 1 CARRIF,R 2 TON AC.
APPLICANT MECHANICAL 50.00
RIVER CITY SHEET METAL INC. STATE SURCHARGE MECH(VALUATION) 0.90
8290 MAIN ST.NE
SUITE 39 MAIL-IN FEE 2.00
FRIDLEY,MN 55432 TOTAL 52.90
(612)754-2199
OWNER
LARSON, ERIC& PAMELA
75 CRYSTAL CREEK RD
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinanccs goveming[his type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
�`y -- � �� z c� i3 � a � �3
Applicant Permitee Signature Date Issue By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
06/19/2013 a1:13PM 7637542908 RIVER CITY PAGE 01/03
,���. F012 GI'�'Y SE ONf,�
���h'��. City of UroA�o � �7
� V�'�,`. 3'.O.130�6�; Dal�Recei��Cd� efmitr {��3 " � "
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Ir CnsGal ga�.tilll'S�32; An{�ro�'ed F3c, t\mountS ��
� � • P�,onc(95�)24v-4(�Of' Evxf9S212dy.�}bl� �
�y� � �i
� ` >n `� C�- �F�R�ZV��MECI�,�'�CAL ZE�'�T
`'`�e,s'r�o�=;,'
��- (All(:ammefdal permits must bc approvcd bc thc I3U�lding Ofi7cia�of Inspcctor�qd/01'P�rc hlarsliall)
G�N,�RA�. INFORNIATION �
t. You ma}�app1��for mechanical permifs by ztt�il or in person at the City offiCes. Applications w�ll
be reviewed and a pe�mit will be issued within two wotl<ing days.
''. Permit cards will be scnt by return mail after a review is compleied. �'�RM[TS A}�NO'I�
VqLID UNTIL YOIJ RECEIV�A PGRNIfT. WORK NOT Nj71vTILTHE
PER]VI�'X'CARD iS�OSTED Ol!"X'N�JOB 51.'X'�. (�
3. �leehanicai Desisr�;—Complcte calculatioils,d�tails and speciflc2tions a�e required for eac,h �`
heati�ng,ventilation,humidifcation-dehumidafication,and air conditioning installation including
heat loss/heat gain calculation,design�emperatures,eGuipment ratings�nd identification as ta
type_manufacturer and mod�E_ [7ata sha11 bc presented on forni provided,
4. When any new consil'uction or remodeling is involved,a separate building permit must be
vbtai�ned.
5. All work must be done in accordance with the Unifortn N(echanical CoddState Sujlding Code
�'equircments.
6. Atl work must be inspected(rough-i�and final). Cal) (9J2)249-4600.
(24-48 hour�uot3ee re�uired)
7. House hFeating Tesf Record must be submitted before final.
, TXP� O��.ERMIT ,, ,.
Check:A�a1:That A 1 , -
�Residential ❑Commercial(Approval Required)
< �
❑ �eW ❑ Additional ❑Repairs �Replace
JQb Site/Qwr�er ln,format'ton: -
Site A,ddress: ,� �� C���� �r.�
Ownex_1' Mailir�g Address' � r t� CI�P�,�
City: � Zip:
Home Fhor�e: �c�� ' -1 �� `�9��lterr�ate Phone:
Contracto;r�nformatian:
Contractor: River City Sheet !Vlet�l, 111C.Contact Pezsor�: `-�►' "�� S
82 a�n t. .E., Suite 39
,Address: Fritlfe MN 554 2 State Boz�d#:
y (763)754-2199 �ax(763)754-29(�$
Cic : Z p: xp�ration Date:
Phone: Alternate Phone:
❑ Insurance^Curre�t:
1
, 06/19J2013 01: 13PM 76375429a8 RIVER CITY PAGE 02/03
, � . ;-' '
;'iVl�.�7A.i'�ti'C%�;L S��:sTEM%5:��[°N:G II�S'l'_tiL`�EIJ .. ,:,
Nore: AI1 G�o�iierma! Systems �vili nm;-renuire�,5it�Pian �: Revle��� trv ous•Buitdin= Of�cia�.
rr a:f�r,ss.c'�'zT��;t�_ . _ .. � .. 4�__
Quantity:
�ial<e:
Model:
Fue1:
Flue Size:
lnput�TUs:
Out�ut�iTUs; M `
CrM°
COOL�YG SYSTEMS
Quantity� � � (_.-
Tvlake: r r
Niodel: � � �� __ �
Toas: �U_.�� _--
H.Power
FFREPLA�C�S
(� Gas Factory Fireplace Rrand Nattae; ,
❑ Wood Bu�r�ing�ireplace ��
Q Wood Stvvc Nlpdel Np,;
❑ Wood Stove w�th Flue/Masoruy �
vE�v'z'�Z.,,,��„TION
❑ No. Ki�chet��xhaust duct xeci�cula2ing c�'m
�] No. Batb ExhAust(must k�avc duct outssde) cfm
❑ No. Oti�e�Fans: Locations ��
�U��.STO�iAGE (Must be approved by�re Masshall ifp%posing to abandan tank in plarr.)
❑ Installation ❑ Removal
Fuel Oil: �gallons ❑ Underground ❑ �n$ide ❑Outside
LP Cias_ ga110i1S
Othe�:
GAS�,IN�ONLY
❑ Outdoor Grill ❑ Other/List What& Where:
2
, 06/19/2613 01:13PM 7637542908 RIVER CITY PAGE 03/03
;: , , `PERMI'T'k'�EE C�1•�.��1.�,A,TIC�N;(�} � , ;
, �, , ;, ,
;- ;:BA��D�hF' .�002:�.`LAi�.�s�'�.�'�� ��, „ , .,,
❑ Yes.this section applies
The replacement of a JZesidentiAl fxturc or anpiiancc t)�at mcets xll three o�ihc followin�requirements:
1. Does not require modificatio�t 2o electt�ical or gas service.
2. Has a coLal cost oF$�00.00 or less;excludin�T the cost of the fistur�or appliance:and
.i. ls imprpved, installed or rep►aced by the homeowner or fice�sed contractor.
Skip next 5ection,if this app�ies: Cost of Pennit $ 15.OU
State Surcharge �__ 3,p�
i�ai{-In Fee(If Applicable} � 2.00
Total Pe�mxt F'ee �
� "n ��' '__�� '-�af��.�'�:�i���. � ' '`.��8�{Q�����ZQ�1� •
7y _.
-='a, ...i �. : d �..2I�� �—_;; �. x'��,a,�, ��:��^r��d[.
If above.does not apply;follow guidclines below;
I. cO�v'�'RFtCT ftIC� * is ]_25°0 of contract price with a(Miniuoaun�Fee of$50.04)
1 OO .o� X.ot?s� .o[�
(cvntract price) (mmimum 550.00)
2. STATE SU.RCI3ARGE � � . ��
a . x.000s �
(contruct pricc) �
3. PQSTAGE&HANDLZI�lG(Only on Mail-]n Applicatipns} $ 2,�p
4. TOTAx,�RMIT k��(Add Lines a-3 Above) $ � � ' ��
• * CONTRACT PRICE or JOB COST means t�c actual or estimated dollar anoount charged for rhe
permitted work iricluda�,g mattrials, Iabor,profit,and other fixed costs. iC is the a�out�t to be charged
to the Customer for the work done, lf any tnaterial, equipment, labor or installations are �'ut�r►ished by
the owner,tenant or any othe�parry,t}�e reasonable mnrket vAlue of such items must bc addcd to the
estiroattd cost or contract price far permit fee purposes. �n the event that There is a dispute on the
amounc of che job cost, the Clty may re�ttest the submission of a signed oopy o�'t,he aCtual contract.
,r��'�: .__k' �..°.�•,��1'�;��C�:>���'+�-�.��.:j��.�s-- ��1,� -�r l4'rrP A,,� ,-�.
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,
The undersigr�ed hereby applies to the City for is9uance of a Mechanical pez�at, agrees to do all
work in strict accordance with the ordinances of the Ciry and the regnlations of the State of
Minnesota, and certiftes that a�I statemcnts made o;� tllis application are epzxiplete, ITue and
CozzeCt.
Applicant'S Signature: ^ Date: c..� 1 T/ ,�
3
i�� ..-D�jT � TIME �
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CITY OF ORONO CALLED IN .
INSPECTION OTI J�)�j SCHEDULED
PERMIT NO. O �-`�^�✓�7 COMPLETED
ADDRESS ��,���]LQ' �����
OWNER TELEPHON O(��a' � � ���
CONTRACTOR
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�: DESCRIPTION
�
ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
� ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPT�I�/INSTALL ❑ HARD COVER REMOVAL
� ❑ PLUMBING RI ❑ SEP'�IF FINAL ❑ FOUNDATION/REMOVAL
� OW-NER/_CONTRACTOR TO MEET YOU:�YES_NO
� COMMENTS: __
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� ❑WORK SATISFACTORY:PROCEED �I'IOJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑ CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
� INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector.
White Copyll�spector's File Canary Copy/Site Notice